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Associate Professor, Florida State University College of Medicine

In Sub-Saharan Africa 1 in every 180 women giving birth dies (more than 20 times the rate in developed countries) medicine lodge kansas buy generic risperidone 4 mg online, and adult women are less educated medicine emoji order 4mg risperidone fast delivery, have less access to labour markets than men in most regions and lack access to political power (table 4. Gender inequality as a human development shortfall Gender inequality is correlated with a loss in human development due to inequality (figure 4. No country has reached low inequality in human development without restricting the loss coming from gender inequality. The conclusion: "These impressions are cause for hope, not pessimism, for the future. The space for gains based on current strategies may be eroding, and unless the active barriers posed by biased beliefs and practices that sustain persistent gender inequalities are addressed, progress towards equality will be far harder in the foreseeable future. As chapter 1 discussed, progress in human development is linked to expanding substantive freedoms, capabilities and functionings from basic to more enhanced. Progress towards equality tends to be faster for basic capabilities and harder for enhanced capabilities. Legal barriers to gender equality have been removed in most countries: Women can vote and be elected, they have access to education, and they can participate in the economy without formal restrictions. But progress has been uneven as women pull away from basic areas into enhanced ones, where gaps tend to be wider. The higher the loss due to gender inequality, the greater the inequality in human development. The past two decades have seen remarkable progress in education, almost reaching parity in average primary enrolment, and in health, reducing the global maternal mortality ratio by 45 percent since 2000. Women make greater and faster progress where their individual empowerment or social power is lower (basic capabilities). But they face a glass ceiling where they have greater responsibility, political leadership and social payoffs in markets, social life and politics (enhanced capabilities) these patterns can be interpreted as reflecting the distribution of individual empowerment and social power: Women make greater and faster progress where their individual empowerment or social power is lower (basic capabilities). But they face a glass ceiling where they have greater responsibility, political leadership and social payoffs in markets, social life and politics (enhanced capabilities) (figure 4. This view of gradients in empowerment is closely linked to the seminal literature on basic and strategic needs coming from gender planning (box 4. So there is parity in entry-level political participation, where power is very diffused. But when more concentrated political power is at stake, women appear severely under-represented. The higher the power and responsibility, the wider the gender gap-and for heads of state and government it is almost 90 percent. Only 24 percent of national parliamentarians were women in 2019,13 and their portfolios were unevenly distributed. Women most commonly held portfolios in environment, natural resources and energy, followed by social sectors, such as social affairs, education and family. Certain disciplines are typically associated with feminine or masculine characteristics, as also happens in education and the labour market. When empowerment is basic and precarious, women are over-represented, as for contributing family workers (typically not receiving monetary payment). Then, as economic power increases from employee to employer, and from employer to top entertainer and billionaire, the gender gap widens. Empowerment gradients appear even for a uniform set of companies, as with the gender leadership gap in S&P 500 companies. In developing countries most women who receive pay for work are in the informal sector. Countries with high female informal work rates include Uganda, Paraguay, Mexico and Colombia (figure 4. As articulated in gender social policy analyses,2 practical gender needs refer to the needs of women and men to make everyday life easier, such as access to water, better transportation, child care facilities and so on. Strategic gender needs refer to needs for society to shift in gender roles Notes 1. Sometimes practical and strategic needs coincide-for example, the practical need for child care coincides with the strategic need to get a job outside the home.

Obshchaya metodologiya nauki i metodologiya geografii [The scientific explanation in geography symptoms for strep throat purchase generic risperidone line. The general methodology of science and methodology of geography] (Moscow: Progress medicine universities buy risperidone 4mg without prescription, 1974). The regulative functions of the state border (by social sphere) Function of the border Political regulation Objects of regulation Transborder relations of political power and influence, their participants, means and resources Transborder movement of material goods, factors of production, objects of exchange and consumption, actors, means and resources Transborder processes of production and reproduction of people as members of society, their participants, means and resources Transborder movement of the phenomena of consciousness, information, knowledge, values, behavioral patterns, its actors, means and resources Examples of regulation Fighting international terrorism or intelligence activities Customs taxation of goods; quotas for the import of foreign labor; harmonization of national sanitary and technical standards Rules of obtaining residency or entering into marriages with foreigners; measures to encourage the educational migration Censorship of imported foreign literature; registration of foreign media Economic regulation Social regulation Cultural regulation Source: compiled by the author zens develop a common identity in relation to those located outside of the state. The functions included within this category can be classified by the objects and by the purposes of regulation. The distinctive quality of the state border, as already noted, is its complexity, i. From this perspective, there are four regulative functions of the state border system (Table 2). Barrier functions aim to increase the closeness of the state and society (in accordance with security priorities). The purpose of contact functions is to increase state and social openness to the outside, the international environment (in accordance with the priority of development). Today it is unusual for barrier or contact regulation to be consistent across all objects and spheres of transborder relations. It is more common for the function of the border system in different spheres to have different purposes. Selecting one of the two main purposes of regulation in its four basic spheres gives a total of 16 different combinations of regulative functions for a single border. State border dynamics the state border system, its composition, and structure can possess a high degree of stability, sometimes to the point of immobility. However, in reality, any state border, even the most immobile, is constantly in the process of changing. A linear dynamic is a series of significant changes in the system, which alters its qualities (typological), and are irreversible. In reality, the cyclical and linear dynamics of state borders are closely intertwined with one another, but they need to be distinguished for both scientific and practical, including management, goals. Concepts and problems of border studies Relatively more attention is given today to the cyclical dynamics of state borders. A particularly important example of these is the so-called "life cycle" of the border. Through a more detailed consideration of these basic phases of the life cycle of a state border, one can discern a number of sub-phases. Thus, the formation phase13 usually begins with the allocation of the state border through military (conquest) or peaceful (colonization) means, assigning authority over a particular area, and spreading the power of the state. The allocation of the border (in the case that it is a border of modern linear type) is followed by a sub-phase of delimitation. In this period, the state border receives international recognition and initial legalization, implying the conclusion of interstate delimitation agreements and the creation of official maps fixing the position of the borderline. However, to complete the formation of the state border, demarcation should be followed by a sub-phase of construction. Construction in this case refers to the creation (both purposeful and spontaneous) of all elements and structures of the border system, necessary for its full operation. The next phase of the life cycle of the state border, called "reproduction", consists of routine performances by the border system of its functions, and may provide the impression of a monotonous, internally homogeneous process. Since changes in transborder relations are rarely of a cardinal, revolutionary character, these management cycles are usually pretty monotonous. The formal (de jure) destruction of the state border occurs due to the liquidation of the legal and ideological foundations of its existence and the dismantling of its institutional structure. At the same time, despite being deprived of its legal status, the former state border persists for a long time as a cultural boundary, manifesting itself in the minds and behavior of members of the various communities. During its life cycle, any state border can be simultaneously involved in a number of linear dynamics. Most of these linear quality changes relate to the individual elements and structures of the border (in particular, the formal-institutional, legal and ideological, and material) and are the result of the state reforms. However, more profound, system-wide changes to the state border usually occur not through purposeful, but spontaneous actions, through a slow process of historical evolution.

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Although these plans differ from sector to sector medications mexico order 2 mg risperidone with mastercard, the core elements of these plans include identification of essential functions and contingency plans for the continuation of those functions symptoms dust mites cheap risperidone 4mg on-line. Federal funding was available to eligible applicants of State and local governments, including some- but not all-lifeline services, as a result of a Presidential Disaster Declaration. Responsibility for lifeline repairs will be based on ownership of lifeline facilities (public vs. The ability to communicate with lifeline personnel and obtain additional resources will be impacted by the size and impact of the event. Planning Factors Resource Estimated Scenario Requirement Quantity of Resources Needed Organization Capacity Values Lifeline restoration, in a major event, would be addressed with an appropriate combination of existing-resources and mutual assistance sufficient to meet disaster needs. Target Capability Preparedness Level (Under Development) Resource Element Unit Type of Element Number of Units Unit Measure (number per x) Lead Capability Activity supported by Element Lifeline restoration, in a major event, would be addressed with an appropriate combination of existing resources and mutual assistance sufficient to meet risk and threat assessment based needs. This will include identifying the extent of damage caused by an incident, conducting thorough post-event assessments and determining and providing the support needed for recovery and restoration activities to minimize future loss from a similar event. Implement Federal assistance programs Implement State, regional, tribal, and local assistance and recovery plans Implement private-sector recovery, local assistance, and recovery and mitigation plans Performance Measures Percent of notified personnel who report Metric 100% Activity: Assess and Prioritize Recovery Needs Definition: Assess economic recession in order to prioritize monetary and non-monetary relief Critical Tasks Rec. Assess impact to essential service infrastructure and basic service distribution systems. Includes representatives from construction, building supplies, transportation assets Implement disaster assistance programs to include registration of applicants, inspection of disaster damages, and processing applications Planning Assumptions General Although applicable to several of the 15 National Planning Scenarios, the capability planning factors were developed from an in-depth analysis of the major earthquake scenario. Federal funding to State and local governments is dependent upon Presidential Disaster Declaration. This capability focuses on the recovery of a particular community (public infrastructure, individual housing, businesses, etc); it does not address recovery of a large economic sector. Due to the disruption of local and regional transportation systems, alternative methods of distribution and transportation will need to be identified and/or implemented (based on historical information, shows that for every 1 home destroyed, 10 will be damaged). Assume all displaced families will require some form of government sheltering and housing assistance. Scenario-Specific 300,000 homes have been destroyed; there are 1,400 deaths; 18,000 hospitalizations, 150,000 buildings destroyed and 1 million buildings damaged. The wide dispersal of disaster victims will complicate the Federal Government assistance eligibility and delivery processes for extended temporary housing, tracking, and need for registering the diseased, ill, injured, and exposed Of the 1 million buildings moderately damaged, 200,000 were commercial buildings and 100,000 were public buildings. Access to essential services (food, transportation, health care, etc) must accompany housing resource. Modes of delivery of assistance awards may vary, ranging from new expedited processes to alternative distribution methods. For temporary provisions, "Comfort Kits" may need to be instituted as a substitute for immediate award of disaster assistance. Target Capability Preparedness Level Resource Element Unit Type of Element Number of Units Unit Measure (number per x) Lead Capability Activity supported by Element Note: Many of the staff "pools" identified below will be generated in response to a specific incident by assembling governmental and contract staff from various locations; they are not dedicated, standing organizations. Statement of Requirements for Public Safety Wireless Communications & Interoperability. It is targeted not only at those in the chemical and process industries, but also anyone likely to work with chemicals within industry and in the service sector. It embraces the entire life-cycle of chemicals during transport, storage, processing, marketing, use and eventual disposal and should appeal to chemists, occupational and environmental health practitioners and students, engineers, waste handlers, safety officers and representatives, and health care professionals. Clearly, more detailed texts or professional advice may need to be consulted for specific applications. Since the first edition in 1994 there have been no significant changes in the fundamentals of chemistry, physics and toxicology upon which the safe handling of chemicals are based. There has, however, been some increase in knowledge relating to the chronic toxicological and potential environmental effects of specific chemicals, and in legislation and government guidelines. There has been an increase in the controls applicable to the marketing and transportation of different classes of chemicals. Those applicable to major hazards have changed under the Control of Major Accident Hazard Regulations 1999. Increased concern as to the possible environmental impacts of chemical discharges and disposal has been accompanied by more comprehensive legislation for control.

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Corporate income taxes have also fallen since 1990 treatment 2 degree burns order cheap risperidone on line, in both developed and developing countries medications overactive bladder order 2mg risperidone with mastercard. Recent policy debates have returned to taxes on wealth, intended to both raise public revenue and lower inequality (by flattening the wealth gradient and by using the funds raised for public social services expenditure or infrastructure investment). The advantage of taxing wealth, especially real estate, is that it is harder to hide than income, to a point. Wealth taxation is also very progressive due to the very high concentration of wealth at the top. However, the reporting of wealth could fall by as much as an estimated 15 percent in response to such a tax. And of 12 countries with a wealth tax in the 1990s, only 3 (in Europe) still have the measure in place. It is not enough to look solely at the progressivity of individual tax rates because fiscal systems are designed with both revenues and expenditures in mind. The progressivity of net transfers is more informative than the progressivity of the individual taxes and transfers. For example, even an efficient but regressive tax-such as a typical value added tax-can be equalizing if it is complemented by transfers that target poor people. Fiscal policy should tilt towards greater spending on the lower deciles, through more transfers (both direct and in kind) to the lower deciles or through greater spending on programmes to support disadvantaged groups and communities. Investments in public goods- including the education system, infrastructure, sanitation and security-could also disproportionately benefit people in lower deciles who would otherwise not have access to such services. The other side of redistribution is fiscal progressivity, how net transfers are allocated- to whom they are transferred and how and on what public services they are spent on and for whose benefit. Decomposing these two aspects shows great variation-and thus suggests multiple options for countries to consider-in the mix of policies to pursue to redress inequality. What is clear is that the social value of redistribution increases where inequality is higher (see spotlight 7. New principles for international taxation Globalization and the increased integration of countries have meant more than just increased flows of goods, services, finance and people. Decisions by corporations on how they structure their supply chains can shape investment, production, trade, migration and taxation around the world. Global value chains define modern manufacturing production especially and in recent decades have been accompanied by the distribution of research and development129 and other segments of the value chain. Multinational corporations distribute activities in cities and countries to take advantage of differences in costs, availability of skills, innovation capabilities and logistical advantages. Evidence suggests that the domestic spillover of global value chains have contributed to significant gains in productivity and incomes in many economies. International tax rules also need to be modified to capture new forms of value creation in the economy 2016 the Panama Papers offered a glimpse into the extent of the problem. The fiscal cost to national governments has been estimated at more than $190 billion a year. In August 2016 the European Commission determined that the effective corporate tax rate Apple paid was 0. In such cases governments in the countries where the underlying economic activities are conducted lose tax revenue. Moreover, the firms are not shifting productive capital- which could raise wages and reduce inequality in the receiving countries-but shifting profits on paper. Significant efforts have been made in the last decade to combat tax evasion138 by wealthy individuals, most notably through the participation of more than 100 jurisdictions in the Global Forum on Transparency and Exchange of Information for Tax Purposes (Global Forum). The first wave of automatic exchange of information reporting in 2017, and the bulk following in 2018, allowed information on 47 million offshore accounts- with a total value of around 4. The project addresses tax avoidance by establishing internationally agreed standards backed by peer review processes to root out harmful tax practices and ensure that profits are taxed where the economic activities giving rise to them are conducted. Where a regime is assessed by the forum as harmful, the jurisdiction is required to amend or abolish the regime or face being put on blacklists, which could come with punitive consequences. Many jurisdictions have since amended their tax laws in line with the internationally agreed standards under the project. International collaboration and collective action have thus addressed harmful tax practices and enhanced tax transparency.

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